Aortic Dissection In Patients With Chest Pain And Ischemic Electrocardiograms
In the hectic environment of the emergency department, rapid diagnosis and emergent management of life-threatening conditions must occur. In the patient with acute chest pain and an EKG concerning for an ST segment elevation myocardial infarction STEMI, the diagnosis and treatment is generally straightforward. National guidelines recommend emergent reperfusion with percutaneous coronary intervention (PCI) or fibrinolytic therapy. Unfortunately, the potential for patient harm is high when acute aortic dissection causes an acute coronary syndrome and produces ischemic EKG changes.